Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Multiple Sequential Physeal Injuries with Vitamin D Deficiency

비타민 D 결핍이 동반된 다발성 연속적 골단판 손상

  • Kim, Byoung-Kook (Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA University) ;
  • Kim, Yong-Gun (Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA University) ;
  • Lee, Ho-Jae (Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA University) ;
  • Choi, Dae-Sung (Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA University) ;
  • Dan, Jinmyoung (Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA University)
  • 김병국 (CHA 의과학대학교 구미차병원 정형외과학교실) ;
  • 김용근 (CHA 의과학대학교 구미차병원 정형외과학교실) ;
  • 이호재 (CHA 의과학대학교 구미차병원 정형외과학교실) ;
  • 최대성 (CHA 의과학대학교 구미차병원 정형외과학교실) ;
  • 단진명 (CHA 의과학대학교 구미차병원 정형외과학교실)
  • Received : 2017.09.27
  • Accepted : 2018.01.10
  • Published : 2018.12.30
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Abstract

Vitamin D plays a major role in bone metabolism, and its deficiency has an impact on fracture risk and healing. Low vitamin D levels are a cause of poor bone mineralization and have been associated with a significantly higher risk of physeal injury in children. This paper presents a case of a 13-year-old boy with a vitamin D deficiency, who sustained multiple sequential epiphyseal injuries at various areas. This report suggests that vitamin D deficiency is not only a significant cause of the clinical disease itself, but also an important factor affecting the successful recovery of injuries.

최근 신체의 다양한 조직과 세포에서 면역과 증식, 분화를 조절하는 기능이 알려진 비타민 D는 정형외과 영역에서는 칼슘과 인 대사에 관여하여 뼈 발육과 성장, 건강한 골격 유지에 필수적인 역할을 하며, 특히 청소년기 비타민 D의 부족은 뼈의 무기질화에 영향을 주어 구조적인 결함을 야기하여 골절의 위험의 증가와 골절 치유에 부정적인 영향을 미친다. 저자들은 여러 부위의 성장판에 연쇄적인 골절이 발생한 13세 소아 환자에서 비타민 D 결핍이 다발 부위의 연쇄적 골절의 가능한 원인으로 확인하였다. 비타민 D 결핍이 골절 발생에 중요한 원인이므로 비타민 D의 투여가 부상에서 성공적으로 회복하고 추가적인 골절을 방지하는 데 중요함을 보고한다.

Keywords

References

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